1

Get second opinion:
The combination could readily backfire, as the Elavil (amitriptyline) and Ativan can both cause anti-cholinergic side effects, and additive sedation, lethargy, and dizziness. Both very low dose, but nonetheless may cause more problems than success. Not clear why these two have been started together. ?Psych Concierge appt?
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2

Yes:
You may take these two medicines together. The Ibuprofen will not enhance the effect of the Lorazepam as it is not a narcotic. 600 mg Ibuprofen should not be taken more than every 6 hours. Speak to your Lorazepam prescribing doctor about this and other concerns.
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3

Yes and no:
Clonazepam and xanax (alprazolam) are benzodiazepines often used to treat anxiety-panic attcks, gad or ptsd. They are similar but xanax (alprazolam) is shorter acting and more potent than Clonazepam whixh is less strong and action lasts longer. Xanax (alprazolam) also can lead to addiction more than clonazepam.
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4

PALPITATIONS W/U:
Palpitations that symptomatic deserve a prompt W/U: exam/labs especially TFTS/EKG/Event Monitor/ECHO andThe discussion of treatment options with your doctor. While you are waiting eliminate caffeinefocus on staying hydrated. If palpitations worsen or syncope develops go directly to the ER stick to a GF diet WholeApproach.com gutbliss.com It is OK to take all three, in the evening.
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8

Better not:
Since meds have potential for central nervous systemdepression (can interfere with breathing) don't take them together especially at bedtime. Take as your prescriber advised, or follow directions on medication label. Best regards.
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Your medications:
The Modafinil is a stimulant which can cause abnormal hearth rhythms. Your levothroid, if not properly dosed could do it as well, ask your doctor for a blood test to make sure that dose is not too high for you. Being 58 years old, you could have heart problems unrelated to the medications. You should see a doctor to get this evaluated.
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11

Yes.:
I may have already answered it but neglected to address the Melatonin. If the Olanzapine alone controls your anxiety and other psychotic symptoms, you coul.d just use Ativan (lorazepam) as needed for breakthrough anxiety.It is best to take the Melatonin after supper . These three medications are best taken at night before bedtime as they are sedating.
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Potentially yes:
If you are getting lightheaded or dizzy from this combination you should contact your prescribing physicians or go to the er to have your medication adjusted so that you do not pass out. Stay well hydrated. It is possible for these medications to lower your blood pressure.
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May take longer. :
Zoloft and Cymbalta (duloxetine) are actually very different from each other. Cymbalta (duloxetine) is very potent and works on two different receptors (serotonin ; norepinephrine ) and many people take longer to get off of it. Zoloft works mostly on one (receptor) and 50 mg is a low dose. Talk to your doctor about this.
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14

Ankle swelling:
Leg swelling is one of the common side effects with Amlodipine. There are several other groups of medicines available to treat hypertension. Your doctor will choose another class based on your other medical conditions.
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15

20-40:
There is no definite equivalent dose. 5 mg of bystolic (nebivolol) is a fairly low dose and would like be equivalent to 20 or 40 mg in propanolol la. Both are beta blockers, so there is no need to wean. You can switch directly from one to the other.
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17

Yes:
Very much so. Plenty of evidence that this dose of aspirin is cardio-protective , helps prevent strokes, may help prevent colon cancer. With your history of hypertension, it is a great recommendation.
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18

Melatonin - maybe no:
Adderall will cause issues with insomnia but Melatonin may not be up to the task of counteracting this side effect and could actually worsen insomnia. Talk to a neurologist or psychiatrist to find out the best treatment option. Insomnia is a complex issue and it is important reversible causes have been ruled out and you have a treatment that will work well for you based on all of your medical hx.
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20

Not specific:
The signs & symptoms of hypothyroidism are not specific for hypothyroidism (not a single one). Recheck your thyroid labs. If they're normal, your symptoms are due to something else. Having said that, I'm happy to do a trial of Cytomel with the Synthroid (thyroxine) in patients who want to try as long as I don't make them hyperthyroid. Some people report feeling better with comparable labs taking a little T3.
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